In an effort to help our members manage their healthcare costs, Optima Health will be sending two communications pieces late in November and in the first part of December. The first is a postcard that will be sent to all PPO and POS members reminding them of the cost savings associated with using In-Network providers and the financial risk of using Out-of-Network providers. The second is a follow-up letter targeting members based on claims data, which identified those having accessed healthcare services from Out-of-Network providers.
As a health plan partner, it is our goal to ensure that members understand ways to minimize their out-of-pocket expenses and get the most benefit from their Optima Health plan.
The following is a schedule of this communication to our various external audiences:
| Communications to Employers |
Dates |
| Email Alert |
November 24th |
| Article in Newsletter (Benefit Headliner) |
January issue |
| Communications to Members |
Dates |
| Article in newsletter (Benefit News) |
December issue and all 2011 issues |
| Postcards to all POS and PPO members |
November 29th |
| Letter to all members with OON claim in last 12 months |
December 15th |
| Email message to all POS and PPO members (excluding COVA Connect), include link to directory |
December 15th, March 15th, and as needed |
Optima Health is also committed to managing our members' costs in the most cost-effective way possible. In this regard, Optima Health is aligning its Out-of-Network reimbursement practices with the practices of other health plans, paying Out-of-Network providers no more than In-Network providers.
View member postcard 
| View member letter